Case 846 · ICHD-3 4.1

4.1 Primary cough headache

Origin

Synthetic

Language

English — also available in German

Contributed by

Imported case — Primary Headache Vignettes LLM Generated, Zwanzig, Oct.26 (Zwanzig D. Primary Headache Vignettes LLM Generated (Oct. 2026): synthetic ICHD-3 headache vignettes, chapters 1–4. headache.bench.)

Validation

Synthetic; automatically verified against ICHD-3, not clinically validated.

Anamnesis

A 61-year-old retired bricklayer reports a four-episode history of head pain, each one flaring up in an instant whenever he strains at stool or coughs forcefully. He describes no gradual build-up whatsoever; the pain is simply there from one moment to the next. The most recent attack, last month, ran on for just over an hour and a half, something he timed at close to 96 minutes before it eased. He denies any weakness, slurred speech, or visual change during or after these episodes, and there is no family history of note.

Report this case — e.g. suspected re-identification risk.